Medical Billing & Coding Specialist, Daytona Beach Campus

About the role

Embry-Riddle Aeronautical University (ERAU) is seeking a Medical Billing and Coding Specialist within the Health Services Department at our Daytona Beach Campus. This position is in alignment with the mission, vision, and strategic priorities of Embry-Riddle Aeronautical University (ERAU) and the Division of Student Affairs, provides high-quality, student-centered service that supports student well-being, persistence, and success. Health Services embraces a holistic approach to student health, integrating prevention, education, wellness, and clinical care to foster a healthy and thriving campus community. Through compassionate service, proactive outreach, and innovative health initiatives, the department supports students in achieving their personal and academic goals. The Medical Billing and Coding Specialist is responsible for the accurate coding, billing, and processing of insurance claims for services provided through Health Services. This position ensures compliance with federal, state, and payer regulations, supports revenue cycle management, and contributes to the financial sustainability of the university health clinic. The role also serves as the primary point of contact for student health insurance inquiries, assisting students and families with insurance enrollment, waiver processes, coverage questions, and claim-related concerns. This position plays a vital role in supporting student access to healthcare services and contributes to student retention and success by helping students navigate health insurance and billing processes while attending a rigorous academic institution focused on aviation, aerospace, engineering, and STEM education. This is a Full-Time 12-Month Position. Job Duties: Health Insurance Program Administration Serve as the primary liaison for students, Student Services, and the University's health insurance provider regarding student health insurance enrollment and coverage. Coordinate the addition and removal of domestic and international students who elect to enroll in or waive the University-sponsored health insurance plan. Manage health insurance enrollment changes for students participating in internships, co-ops, and other approved academic experiences. Provide students with proof of insurance documentation and other insurance-related records as requested. Maintain and update Health Services insurance website content to ensure accurate and timely information. Assist students in resolving discrepancies related to health insurance charges on student accounts and billing statements. Respond to student, parent, and campus partner inquiries regarding health insurance coverage, enrollment, waivers, claims, and billing. Communicate enrollment, waiver, and coverage changes accurately and timely to the University's health insurance provider. Provide exceptional customer service through phone, email, and in-person interactions while supporting students' access to healthcare services. Medical Billing, Coding, and Financial Operations Enter and process patient encounter, coding, and billing information in applicable billing and electronic medical record systems in a timely and accurate manner. Submit insurance claims and monitor claim status to ensure appropriate reimbursement and timely resolution of outstanding balances. Reconcile incoming payments, Explanation of Benefits (EOBs), and remittance documents to ensure accurate account records. Ensure checks, EOBs, and related billing documentation are accurately scanned and maintained within the electronic medical record system. Coordinate the processing and deposit of insurance payments, checks, and electronic reimbursements in accordance with university procedures. Reconcile third-party vendor invoices and insurance-related billing statements on a monthly basis. Review and reconcile health insurance provider invoices and coordinate payment processing as appropriate. Generate and provide billing, reimbursement, and revenue reports to Health Services leadership as requested. Maintain accurate financial records and ensure compliance with university, insurance, and regulatory requirements related to medical billing and coding. Review and resolve billing discrepancies, unpaid claims, denied claims, and reimbursement issues to ensure accurate and timely payment for services rendered. Coordinate claim corrections, resubmissions, and appeals with insurance providers as necessary to maximize reimbursement and maintain compliance with billing requirements. Student Education, Outreach, and Customer Service Educate and assist students in navigating the University's health insurance provider website, including accessing digital ID cards, reviewing benefits, locating in-network providers, and understanding coverage options. Guide students through insurance-related processes, including filing claims, submitting required documentation, and enrolling in, modifying, or waiving coverage when applicable.

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